Mesenteric ischemia (mez-un-TER-ik is-KEE-me-uh) is a condition caused by poor blood supply to your intestines. Mesenteric ischemia usually affects the small intestine, colon or both. It may also involve other organs in the digestive system. Mesenteric ischemia may be acute or chronic.
Acute mesenteric ischemia occurs suddenly as a result of blockage to the flow of oxygen-rich blood and can permanently damage your intestines. You may experience sudden abdominal pain and, less often, bloody stools. This situation requires immediate medical care.
Chronic mesenteric ischemia occurs gradually from narrowing in one or more of the arteries supplying blood to your intestines (visceral arteries). You may develop pain 1 to 2 hours after eating, This pain may make it hard for you to eat, leading to weight loss. You may also notice changes in the frequency of your bowel movements, as well as bloating, nausea and vomiting.
Mesenteric ischemia care at Mayo Clinic
May 09, 2015
- Cudnick MT, et al. The diagnosis of acute mesenteric ischemia: A systematic review and meta-analysis. Academic Emergency Medicine. 2013;20:1088.
- Hall JB, et al. Mesenteric ischemia. In: Principles of Critical Care. 3rd ed. New York, NY: McGraw-Hill; 2005. http://accessmedicine.com. Accessed Feb. 28, 2015.
- Pecoraro F, et al. Chronic mesenteric ischemia: Critical review and guidelines for management. Annals of Vascular Surgery. 2013;27:113.
- Oderich GS, et al. Mesenteric artery complications during angioplasty and stent placement for atherosclerotic chronic mesenteric ischemia. Journal of Vascular Surgery. 2012;55:1063.
- Greenberger NJ, et al. Mesenteric vascular disease. In: Current Diagnosis & Treatment: Gastroenterology, Hepatology, & Endoscopy. 2nd ed. New York, NY: McGraw-Hill; 2012. http://www.accessmedicine.com. Accessed Feb. 28, 2015.
- Golden, AK. Decision Support System. Mayo Clinic, Rochester, Minn. Feb. 18, 2015.
- Tallarita T, et al. Patient survival after open and endovascular mesenteric revascularization for chronic mesenteric ischemia. Journal of Vascular Surgery. 2013;57:747.
- Kanamori KS. Outcomes of reoperative open or endovascular interventions to treat patients with failing open mesenteric reconstructions for mesenteric ischemia. Journal of Vascular Surgery. 2014;60:1612.
- Ryer EJ, et al. Revascularization for acute mesenteric ischemia. Journal of Vascular Surgery. 2012;55:1682.
- Rajan E (expert opinion). Mayo Clinic, Rochester, Minn. April 28, 2015.